Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Andrew Thomas Prusack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073043378

Phillip Andrew Thomas Prusack, MD is a Family Practice in Ventura, California. Graduated from Jc Edwards School of Medicine, Marshall University in 2017, 9 years ago. Practices with Emergency Medicine Services of Fl LLC, a 665-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hillmont Ave
Ventura, CA 93003-1651
Phone: (805) 652-6556
Fax: (805) 652-3252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A158786 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073043378
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Emergency Medicine Services Of Fl Llc — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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